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WEYMOUTH & PORTLAND

Cruising Association

Rev 2

1/4

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* Type of Membership

Single

Joint

* required fields

*Lists are circulated to members with your name, town, phone,

and boat details (not email). OK?

Yes

No

*Which phone number on lists? *

Mobile

Home

*Have you met any club members? *

Yes

No

Second Member (at the same address)

Please upload a head and shoulders photo

Select File

Max File Size 15MB

3D Head

Do you have a boat? *

Yes

No

Payment by

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By clicking Submit I confirm that the above details are correct, and agree to this data being held on the WPCA membership database

Please complete highlighted fields

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